Active NPI
Faith & Hope Hospice Care, Inc.
- Community Based Hospice Care Agency
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- FAITH & HOPE HOSPICE CARE, INC.
- Practice address
- 1575 N Lake Ave Ste 208
Pasadena, CA 91104-2340 - Phone
- (818) 559-1460
- Fax
- (818) 559-1466
- NPI assigned
- Jun 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vagram Ron Antonian
- Title
- Owner
- Phone
- (213) 458-2263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1575 N Lake Ave Ste 208
Pasadena, CA 91104-2340
Mailing address
1575 N Lake Ave Ste 208
Pasadena, CA 91104-2340
Phone (818) 559-1460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Hospice certification: CCN 551573
- Legal name
- FAITH & HOPE HOSPICE CARE INC
- Doing business as
- FAITH & HOSPICE CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 27, 2009
- Last certification
- Oct 12, 2018
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 5, 2007 in CA
- Enrollment address
- 1575 N Lake Ave
Ste 208
Pasadena, CA 91104-2340
Care Compare: Hospice
Medicare Care Compare- Listed as
- Faith & Hope Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Oct 27, 2009
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
2220 W Burbank Blvd
#201
Burbank, CA 91506
Phone (818) 434-3314
144 S 1st St
Ste 200
Burbank, CA 91502
1575 N Lake Ave
Ste 208
Pasadena, CA 91104
Phone (818) 559-1460
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Vigen Khojayan | Contracted Managing Employee | Jun 1, 2011 | |
| Vagram Antonian | 5% Or Greater Direct Ownership Interest | Jun 21, 2007 | |
| Corporate Director | Jun 21, 2007 | ||
| W-2 Managing Employee | Jun 21, 2007 | ||
| Dennis Laureano | W-2 Managing Employee | Feb 28, 2011 | |
| Inesa Antonyan | W-2 Managing Employee | Dec 1, 2015 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1477723203
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1477723203
-
- Family Nurse Practitioner
- Pasadena, CA
- NPI 1851185334
-
- Family Nurse Practitioner
- Baldwin Park, CA
- NPI 1679188304
-
- Nurse Practitioner
- Pasadena, CA
- NPI 1689274607
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1669677217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 N LAKE AVE STE 208",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042340",
"telephone_number": "818-559-1460",
"fax_number": "818-559-1466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 N LAKE AVE STE 208",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042340",
"telephone_number": "818-559-1460",
"fax_number": "818-559-1466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH & HOPE HOSPICE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-15",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "ANTONIAN",
"authorized_official_first_name": "VAGRAM",
"authorized_official_middle_name": "RON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "213-458-2263"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.